103 STAT. 2268 PUBLIC LAW 101-239—DEC. 19, 1989 Reconciliation Act of 1987 (added by section 411(k)(9)(C) of the 102 Stat. 768. Medicare Catastrophic Coverage Act of 1988), is amended by striking "January 1, 1990" and inserting "July 1, 1990". (c) HOSPICE PAYMENT FOR ROOM AND BOARD. — (1) IN GENERAL. —Section 1902(a)(13XD) of the Social Security Act (42 U.S.C. 1396a(a)(13XD)) is amended— (A) by striking "in the same amounts, and using the same methodolc^y, as used" and inserting "in amounts no lower than the amounts, using the same methodology, used", and (B) by striking "a separate rate may be paid for" and inserting "in the case of', and (d!) by striking "to take into account the room and board furnished by such facility" and inserting "there shall be paid an adcUtional amount, to take into account the room and board furnished by the facility, equal to at least 95 percent of the rate that would have been psdd by the State under the plan for facility services in that facility for that individual'. 42 USC 1396a (2) EpFECTTVE DATE.— The amendments made by paragraph (1) "°*®- shall apply to services furnished on or after April 1, 1990, without r^ard to whether or not final regulations have been promulgated by such date to implement such amendments. (d) MEDICARE BUY-IN FOR PREMIUMS OF (CERTAIN WORKING DIS- ABLED.— (1) IN GENERAL.— Section 1902(a)(10XE) of the Social Security Act (42 U.S.C. 1396a(a)(10XE)) is amended— (A) by inserting "(i)" after "(E)", (B) by striking the semicolon at the end and inserting ", and", and (Q by adding at the end the following new clause: "(ii) for making medical assistance available for payment of medicare cost-sharing described in section 1905(p)(3)(A)(i) for qualified disabled and working individuals described in section 1905(s)"". (2) ELIGIBILITY.—Section 1905 of such Act (42 U.S.C. 1396d), as amended by section 6403(a) of this subtitle, is amended by adding at the end the following new subsection: "(s) The term 'qualified disabled and working individual' means an individual— "(1) who is entitled to enroll for hospital insurance benefits under part A of title XVIII under section 1818A (as added by 6012 of the Omnibus Budget Reconciliation Act of 1989); "(2) whose income (as determined under section 1612 for purposes of the supplemental security income program) does not exceed 200 percent of the ofQcial poverty line (as defined by the Office of Management and Budget and revised annually in accordance with section 673(2) of the Omnibus Budget Reconcili- ation Act of 1981) applicable to a family of the size involved; "(3) whose resources (as determined under section 1613 for purposes of the supplemental security income program) do not exceed twice the maximum amount of resources that an individ- ual or a couple (in the case of an individual with a spouse) may have and obtain benefits for supplemental security income benefits under title XVI; and "(4) who is not otherwise eligible for medical assistance under this title. ".
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